年青人原发性肺癌的临床研究

CLINICAL STUDY OF PR IMARY LUNG CANCER IN YOUNG PATIENTS

收集我院１９６４～１９９１年间资料较完整的２７３例４０岁以下原发性肺癌患者进行临床分析，其中男性１９３例（７０．７％），女性８０例（２９．３％）；腺癌占４１．０％（１１２／２７３），鳞癌占４０．７％（１１１／２７３），小细胞未分化癌占１６．５％（４５／２７３）。非手术治疗的１５０例中，生存＜１年者达１１６例（７７．３％），＞５年者仅６例（４％）。而手术治疗的１２３例中，９０例进行了肺叶或全肺切除，手术切除率７３．２％，其中Ⅰ、Ⅱ、Ⅲ期的五年生存率分别为７５％、３１％、２７．３％。并对年青人原发性肺癌的各种特点进行３分析，作者认为：只要早期发现和采用根治性外科治疗，同样可提高年青人原发性肺癌的疗效。

From l964 to l99l,273 patients with pnmary lung cancer,aged underforty years old were hospitalized.Among them,l93 cases(70.7%)were male,80 cases(29.3%)Were female. Adenocarcinoma was accounted for 4l%(ll2/273),squamous carcin-oma for 40.7%(11l/273).Smell cell carcinoma for l6.5%(45/273)in l50 cases of non-opera-tion,survival of ll6 cases(77.3% ) was less than one year,and only 6 cases (4%)sfurvi-val more than 5 years.In 123 cases of surgical treatment, 90 cases(73.2%)underwent lob-ectomy or pneumonectomy,the 5-year survival rates of patients with stage I,II and IlIwere 75%,31.6%,27.3% respectively. Multifarious feature of primary lung cancer in youngpatients were analyzed .It is considered that the prognosis of lung cancer in young personscan also improve with early detection and active surgical intervention.